Rdest DDS PLLC II

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RDEST DDS PLLC II

Doing business as

Gastonia Pediatric Dentistry

Practice address

1367 E Garrison Blvd Ste B
Gastonia, NC 28054-5144

Phone

(704) 790-4430

Fax

(704) 790-4406

NPI assigned

Nov 12, 2013

Last updated

Nov 12, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard F Dest, DDS

Title

Owner

Phone

(704) 790-4410

Specialties & licenses 1

Addresses

Other names 1

• Gastonia Pediatric Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1922438977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 300A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621361",
            "telephone_number": "704-790-4410",
            "fax_number": "704-790-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 E GARRISON BLVD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545144",
            "telephone_number": "704-790-4430",
            "fax_number": "704-790-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDEST DDS PLLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "DEST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-790-4410",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastonia Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.